Different
Acne Types
Acne (vulgaris or common) is
not a teenagers problem it
affects people from ages 10
between 40. However it is not
uncommon for
women to develop
acne in their mid- to late-20s, even
if they havn't had breakouts in
many years or ever. On the plus
side, those few who have
acne into their late 30s may well grow
out of it. Acne can appear on the
skin as any of the following:
-
Blackheads
-
Whiteheads
-
Pimples / Zits
-
Pustules
-
cysts (deep pimples and/or boils
These blemishes occur wherever there
are many oil (sebaceous) glands,
mainly on the face, chest, and back.
There lot of treatment for acne
using products available at a
drugstore or cosmetic counter that
do not require a prescription.
However, for tougher cases of acne,
you should consult a physician for
treatment options. Proactiv solution
has a wide range of products to
treat all types of acne.
Different causes for Acne Breakouts
There are many factors that cause
acne. Acne happens when oil
(sebaceous) glands come to life
around puberty, stimulated by male
hormones from the adrenal glands of
both boys and girls. Sebum (oil) is
a natural substance which lubricates
and protects the skin, and under
certain circumstances, cells that
are close to the surface block the
openings of sebaceous glands and
cause a buildup of oil underneath.
This oil stimulates bacteria (which
live on everyone's skin and
generally cause no problems) to
multiply and cause surrounding
tissues to become inflamed.
Inflammation near the skin's surface
produces a pustule; deeper
inflammation results in a papule
(pimple); deeper still and it's a
cyst. If the oil breaks though to
the surface, the result is a
"whitehead." If the oil accumulates
melanin pigment or becomes oxidized,
the oil changes from white to black,
and the result is a "blackhead."
Blackheads are therefore not dirt,
and do not reflect poor hygiene.
Here are some factors that don't
usually cause acne, at least by
themselves:
No one factor causes acne. Acne
happens when oil (sebaceous) glands
come to life around puberty,
stimulated by male hormones from the
adrenal glands of both boys and
girls. Sebum (oil) is a natural
substance which lubricates and
protects the skin, and under certain
circumstances, cells that are close
to the surface block the openings of
sebaceous glands and cause a buildup
of oil underneath. This oil
stimulates bacteria (which live on
everyone's skin and generally cause
no problems) to multiply and cause
surrounding tissues to become
inflamed.
Inflammation near the skin's surface
produces a pustule; deeper
inflammation results in a papule
(pimple); deeper still and it's a
cyst. If the oil breaks though to
the surface, the result is a
"whitehead." If the oil accumulates
melanin pigment or becomes oxidized,
the oil changes from white to black,
and the result is a "blackhead."
Blackheads are therefore not dirt,
and do not reflect poor hygiene.
Here are some factors that don't
usually cause acne, at least by
themselves:
Heredity: With the exception
of very severe acne, most people do
not have the problem exactly as
their parents did. Almost everyone
has some acne at some point in their
life.
Food: Parents often tell
teens to avoid pizza, chocolate,
greasy and fried foods, and junk
food. While these foods may not be
good for overall health, they don't
cause acne or make it worse.
Although some recent studies have
implicated milk and dairy products
in aggravating acne, these findings
are far from established.
Dirt: As mentioned above,
"blackheads" are oxidized oil, not
dirt. Sweat does not cause acne,
therefore, it is not necessary to
shower instantly after exercise for
fear that sweat will clog pores. On
the other hand, excessive washing
can dry and irritate the skin.
Stress: Some people get so
upset by their pimples that they
pick at them and make them last
longer. Stress, however, does not
play much of a direct role in
causing acne.
Hormones: Some women break
out cyclically, but most women (and
men) don't. Some oral contraceptive
pills may help relieve acne, but
unless a woman has abnormal
menstrual periods and excessive hair
growth, it's unlikely that hormones
play much of a role in causing acne.
Pregnancy has a variable effect on
acne; some women report that they
clear up completely, and others get
worse, while many others see no
overall change.
Cosmetics: Most cosmetic and
skin-care products are not
pore-clogging ("comedogenic"). Of
the many available brands, those
which are listed as "water-based" or
"oil-free" are generally a better
choice.
In occasional patients, the
following may be contributing
factors:
Pressure: In some patients,
pressure from helmets, chinstraps,
collars, suspenders, and the like
can aggravate acne.
Drugs: Some medications may
cause or worsen acne, such as those
containing iodides, bromides, or
oral or injected steroids (either
the medically prescribed prednisone
or the steroids that bodybuilders or
athletes take). Other drugs that can
cause or aggravate acne are
anticonvulsant medications and
lithium, which is used to treat
bipolar disorder. Most cases of
acne, however, are not drug-related.
Occupations: In some jobs,
exposure to industrial products like
cutting oils may produce acne.
Other skin conditions that can
mimic acne?
Rosacea: This condition is
characterized by pimples in the
middle third of the face, along with
redness, flushing, and superficial
blood vessels. It generally affects
people in their 30s and 40s and
older. There is sometimes no "bright
line" separating acne from rosacea;
however, there are no blackheads or
whiteheads in rosacea.
Pseudofolliculitis: This is
sometimes called "razor bumps" or
"razor rash." When cut close to the
skin, curly neck hairs bend under
the skin and produce pimples. This
is a mechanical problem, not a
bacterial one, and treatment
involves shaving less (growing a
beard, laser hair removal.)
Pseudofolliculitis can, of course,
occur in patients who have acne too.
Folliculitis: Pimples can
occur on other parts of the body,
such as the abdomen, buttocks, or
legs. These represent not acne but
inflamed follicles. If these don't
go away on their own, doctors can
prescribe oral or external
antibiotics, generally not the same
ones used for acne.
Gram-negative folliculitis:
Some patients who have been treated
with oral antibiotics for long
periods develop pustules filled with
bacteria resistant to the
antibiotics which have previously
been used. Bacterial culture tests
can identify these germs, leading
the doctor to prescribe different
antibiotics or other forms of
treatment.
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